Bilan fonctionnel prédictif des suites d’une intervention rachidienne dans la paralysie cérébrale

Abstract

Scoliosis is common in cerebral palsy. The higher the GMFCS (Gross Motor Function Classification System), the more severe the scoliosis. Depending on the degree of scoliosis, surgery may be required. The compensatory strategies put in place by the young person to perform certain acts of daily life frequently include the spine. We need to establish a predictive functional assessment in order to explain to the young person and his family the advantages and disadvantages of surgery, as well as the new strategies to be acquired to limit any functional restrictions. This assessment will be illustrated using a case study. This predictive assessment will enable us to anticipate certain problems and adapt our rehabilitation objectives.